Active NPI
Miguel Angel Martinez Hernandez, EMT-P
- Paramedic
- Thomasville, NC
National Provider Identifier
1215684386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- P124530
- Practice address
- 207 Old Lexington Rd
Thomasville, NC 27360-3428 - Phone
- (336) 472-2000
- NPI assigned
- Mar 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | P124530 | NC | Primary |
Addresses
Primary practice location
207 Old Lexington Rd
Thomasville, NC 27360-3428
Mailing address
536 Skylark LN Lot 23
Linwood, NC 27299-8919
Phone (704) 431-7226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| YPS103167865 | Other | BLUE CROSS BLUE SHIELD |
Other names 1
- Miguel Angel Martinez Hernandez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Emergency Medical Technician - Paramedic
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P124530 | NC | MD | Paramedic |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1215684386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "536 SKYLARK LN LOT 23",
"city": "LINWOOD",
"state": "NC",
"postal_code": "272998919",
"telephone_number": "704-431-7226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 OLD LEXINGTON RD",
"city": "THOMASVILLE",
"state": "NC",
"postal_code": "273603428",
"telephone_number": "336-472-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ HERNANDEZ",
"first_name": "MIGUEL",
"middle_name": "ANGEL",
"credential": "EMT-P",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-08",
"last_updated": "2022-03-08",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "NC",
"license": "P124530",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "YPS103167865",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MIGUEL",
"last_name": "MARTINEZ HERNANDEZ",
"middle_name": "ANGEL",
"credential": "EMT-P",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Thomasville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.